SPC System - Smith Performance Center

A clinician at Smith Performance Center performing manual therapy, assessing elbow range of motion. Hands-on assessment techniques help diagnose movement limitations and guide treatment

Meniscus Tears & Knee Pain: Why Rehab Needs More Than Just Cutting Out the Problem

Craig Smith February 15, 2025

The Evolution of Thought Around Meniscus Injuries Clinical practice is filled with successes and failures. For some reason, failures tend to linger in memory the longest and often drive the biggest changes in how we approach patient care. A significant moment in my clinical career involved a meniscus tear, knee pain, and the need for surgery. One of the most impactful shifts in my approach to knee pain, particularly in cases involving meniscus tears, came from a repeated clinical pattern: patients improving, then regressing, over and over. This frustrating cycle forced me to rethink my process and align it with a more structured framework—one that incorporates the Smith Performance Center Phases. This helped me answer the question, “Does a meniscus tear require surgery, or can it be successfully rehabbed without going under the knife?” The Traditional View: Meniscus Surgery vs. Rehab For years, meniscus tears were considered a primary cause

A graphic illustrating the relationship between fatigue and fitness, showing how training stress, recovery, and adaptation impact overall performance.

Maximize Your Season: Structuring Endurance & Strength Training with Three Key Questions

Craig Smith November 1, 2024

Structuring your endurance and strength programming can make or break your training. To help clarify your training schedule, we use three key questions to correctly scaffold the program. While the typical question we hear circles around sport-specific exercises, more important questions often get missed—questions that can make or break the season and influence your performance on race day. Question 1: Are You In-Season or Off-Season? Your immediate reaction might be, “I’m not sure what the difference is.” To clarify, our strength coach, Spencer, offers this guidance: “If you’re building up to a specific race and tapering to maximize fitness while reducing fatigue, you’re in-season. Out of season might still include races, but it’s not aimed at peak performance.” To put it succinctly, here’s how our team defines it: So, which one are you currently in? Once you know, we can get specific. If You’re In-Season: For athletes training in-season, here’s

The 4 Primary Goals In Strength Training When Struggling With An Injury or Pain

Craig Smith November 7, 2023

Goal setting is one of the most important, yet tricky aspects of training. Our team believes that goals are secondary to developing habits and systems that you can do day in and day out. We call this an exercise habit and it is a critical aspect of becoming an exerciser. However, goals can help to shape your training, increase motivation, and improve decision-making during the course of workouts. When you are returning from an injury or dealing with a particularly irritating pain, we believe your goal is very specific. You need to exercise without your body feeling terrible. While this sounds obvious, one of the most common training mistakes our coaches see clients make is too much focus on performance while ignoring a recurring injury or pain. If you have pain during your running, biking, lifting, etc., you will not achieve performance goals. We strongly believe there are 4 goals

What are the phases at Smith Performance Center?

Craig Smith November 6, 2023

At Smith Performance Center, we focus on the main problem of the client. This focused process revealed a recurring set of problems that many of our clients experienced. This led to an overall process we call SPC Phases. There are 5 phases for our clients at Smith Performance Center: Diagnostics and Home Plan Development, Symptom Stabilization, Activity Progression, Exercise, Maintenance, and Monitoring, and Maximize Performance. Each phase consists of a main problem, the common challenges experienced by the clinician, coach, and client when managing your problem, steps to achieve along the way, and a promise for what you get when you complete the phase. We believe a clear process matters to your overall success. We want to explain the problem, common challenges, steps to achieve, and the promise. The Focus On A Problem The focus of a phase is the problem being solved. In Diagnosis and Home Plan Development, we

What are the 3 major issues in physical therapy and exercise?

Craig Smith September 25, 2023

Physical therapy quality is highly inconsistent between clinicians, clinics, and companies. Numerous factors play into these discrepancies, including clinical process, management structure, payment models, clinician-patient time, use of assistants, patient load, clinician training, and business models. These issues often culminate in underwhelming rehabilitation outcomes for clients. When embarking on a rehab journey, most patients don’t anticipate these issues. As Sarah Smith, PT, DPT, and co-founder of Smith Performance Center, observes: “Many patients don’t know where to start their rehab journey, and physical therapy is often not their first choice.” Choosing a clinic that treats 25 patients daily with heavy use of assistants is vastly different from one that sees six patients daily with dedicated one-on-one time. Blending the art and the science of physical therapy requires more than most patients realize. From our experience, three key areas drive these differences: Process, Patient-Provider Relationship, and Clinical Skill. Clinics that avoid assistant

The 5 Big Problems Facing Clients with Pain and Injury Who Want to Get Back to an Active Lifestyle

Craig Smith September 1, 2023

There are numerous problems facing people in living an active, healthy life, but it can be difficult to articulate the problem that needs to be solved. Let’s look at two people dealing with low back pain. One person bent over this morning to grab a pencil and now cannot stand up straight. The second person developed back pain years ago and stopped doing certain movements because of discomfort. The pain is still present daily and they use a combination of meds, massage, and chiropractic to keep big flares up away. Their problems are different despite both dealing with low back pain. The solutions are very different. The person who just hurt their back needs a diagnosis and a home plan targeting healing strategies and triggers. This may mean more frequent visits and removing anything that makes their symptoms worse. We will likely see this person a few times per week

Welcome to the

SPC Archives

Category: SPC System

Meniscus Tears & Knee Pain: Why Rehab Needs More Than Just Cutting Out the Problem

Maximize Your Season: Structuring Endurance & Strength Training with Three Key Questions

The 4 Primary Goals In Strength Training When Struggling With An Injury or Pain

What are the phases at Smith Performance Center?

What are the 3 major issues in physical therapy and exercise?

The 5 Big Problems Facing Clients with Pain and Injury Who Want to Get Back to an Active Lifestyle

Categories

Archives

Craig Smith

Location

Email

admin@smithperformancecenter.com

Phone

Fax

Office Hours

SPC Facility Workout Hours

Updates from Smith Performance Center

Breaking the Injury Doom Loop with Sean McConnell: Why the Right Support System Matters

Understanding Vestibular Issues with Alex Griffis, PT, DPT

From Pain to Progress: Building an Exercise Habit After Injury